Daryl Ama Bosompem

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

25MA10375200 Issued in NJ

Practice address

30 Prospect Ave
Hackensack, NJ 07601

Phone

(551) 996-2331

NPI assigned

Jun 12, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daryl.bosompem@direct.christhospital.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ihpnj ER LLC

  • Emergency Medicine Physician
  • Hoboken, NJ
  • NPI 1225750946

  Emergency Medicine, NJ

  Medicare reassignment Care Compare group NPD
• Emergency Associates of St Marys LLC

  • Emergency Medicine Physician
  • Passaic, NJ
  • NPI 1477063329

  Emergency Medicine, NJ

  Medicare reassignment NPD
• Garden State Healthcare Associates, LLC

  • Emergency Medicine Physician
  • Bayonne, NJ
  • NPI 1700014545

  Emergency Medicine, NJ

  Medicare reassignment NPD
• Hudson Hospital Opco LLC

  • General Acute Care Hospital
  • Jersey City, NJ
  • NPI 1871859306
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ijkg Opco LLC

  • General Acute Care Hospital
  • Bayonne, NJ
  • NPI 1821101239

  Hospital

  Care Compare affiliation

Specialty

Emergency Medicine

Education

Albany Medical College of Union University, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ihpnj ER LLC 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carepoint Health - Bayonne Medical Center Hospital, Bayonne, NJ, CCN 310025

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1205217569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 ANDERSON ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "551-996-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSOMPEM",
        "first_name": "DARYL",
        "middle_name": "AMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA10375200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew S Boral, M.D.
• Ruth Borgen
• Boriken Soto NP LLC
• Gertrude Patria Borja, DNP
• Jeffrey R Boscamp, MD
• William K Boss, MD
• Ebenezer Garcia Bote, RN
• Suelyn Claudia Boucree, M.D.
• Peter N. Boulukos, D.C.
• Boundless Behavior Therapy

• All providers in Hackensack, NJ
• Emergency Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.